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AZITA S. EBRAHIMI DDS INC NPI 1114257235


NPI Information

NPI: 1114257235
Provider Name: AZITA S. EBRAHIMI DDS INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
25662 CROWN VALLEY PKWY STE H4
LADERA RANCH, CA
ZIP 92694
Phone: (949) 276-2990
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AZITA S. EBRAHIMI DDS INC is a dental clinic center in Ladera Ranch, CA. AZITA S. EBRAHIMI DDS INC NPI is 1114257235. The provider is registered as an organization entity type.

The provider's business location address is:

25662 CROWN VALLEY PKWY STE H4
LADERA RANCH, CA
ZIP 92694-486
Phone: (949) 276-2990

The provider's authorized official is Azita Sheila Ebrahimi .
The authorized official title is Owner, President and has the following contact phone number (949) 276-2990.

The enumeration date for this NPI number is 1/12/2010 and was last updated on 1/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental52505CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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